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As an OB-GYN, I see how the misunderstanding of acetaminophen is confused, afraid, and lack of options.
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As an OB-GYN, I see how the misunderstanding of acetaminophen is confused, afraid, and lack of options.

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President Donald Trump said that when he declared firmly at a press conference on September 22, 2025, pregnant women should not take tile lenol, and I immediately thought about my own experience in my second labor. Pushing for almost three hours, an infection occurred in the uterus. chorioamnionitisIt occurs when bacteria infect the uterus, placenta and sometimes the baby’s blood flow. I had a fever and my baby’s heart rate rose significantly.

I remember a terrible feeling. My colleagues and friends said she had never seen me in that week while having a baby. I could not concentrate on push. I felt faint, and I was worried about my baby.

And I remember the amazing slogans that brought me when acetaminophen, an active ingredient of Tylenol, lowered heat and reduced my baby’s heart rate. After taking it, I was able to push with confidence and welcome a healthy daughter who is seven years old and thrives.

A Obstetrics and Gynecology and Medical Research Institute Practice Since I had little experience in caring for pregnant women for about 20 years, I have to make dozens of decisions on the use of acetaminophen on a day when I work in a hospital. Researchers, clinical and educators have surveyed data. The center of our job is to maintain the risk of all treatment and the balance of the advantage.

The president’s words will not change the way I practice, but I’m worried that the patients are confused and all practical health care providers will have a fear of potential lawsuits.

American gynecologists and gynecologists, a major organization that guides medical decisions for pregnancy and childbirth, Safety and efficacy of using acetaminophen during pregnancy In light of the confusion over Trump’s claim.

Mixture

I recently looked at the data on possible links between acetaminophen and developmental disorders a few years ago when I received a call from a woman who recently found out that she was pregnant. She was worried that Tylenol was dangerous for the baby under development.

portion Research suggests links Between Use of acetaminophen in pregnancy and neuro development disorders Attention deficit hyperactivity disorder and autism. But they lack an important difference.

First of all, it is impossible to fix whether the use of acetaminophen itself during pregnancy is associated with the nerve development of the child, or whether the fever and other symptoms that people use painkillers play an important role in the results. Second, these studies are based on statistical association rather than controlled experiments, so they cannot show the cause and effect.

Controlled research that assesses the actual risk of acetaminophen is non -ethical and unstable, so the best representative for controlling environmental or genetic factors is to see the parent exposure to acetaminophen and more than one child in an individual family.

Born from 1995 to 2019, about 2.5 million children were conducted in the 2024 Swedish study, which analyzed about 2.5 million children born in Sweden to mothers who recorded drugs during pregnancy. In terms of individual children, researchers found that autism of people exposed to acetaminophen during pregnancy increased up to 5%. However, when the brothers and sisters are included in the analysis -Control on environmental, medical and genetic factors that can contribute to contribution- Small dangers have disappeared.

Young boys and old girls are standing together in front of the house.
In 2024, Sweden’s study found that the association between the use of acetaminophen and autism was not important when the brothers and sisters were considered.
Momo Productions/DigitalVision through Getty Images

The heat during pregnancy is dangerous for mother and baby

There are many reasons why doctors like me can recommend acetaminophen to pregnant patients. One pregnant woman with the flu is so sick that she is sepsis and the infection spreads throughout the body. Her 103 -degree heat and dangerous hypotension threatened her and her fetus life.

My colleagues and I did not hesitate to treat her with acetaminophen. Our goal is to lower the fetus’s heart rate as well as body temperature because high heart rate can give dangerous stress to the fetus. I wondered what happened to her and her baby when she and her baby rejected this medicine or feared to hear and use a statement from Trump and his health care.

Heat Very common during pregnancyAbout 20%of the patients have reported that they have experienced the patient.

Actually, evidence of connection between French among pregnancy and autism In fact, it is much stronger than a study that connects acetaminophen and autism. Reissue heat during pregnancy can increase Up to 300% risk of autismEspecially for pregnancy patients with severe or long -term infections. This is especially a The patient was hospitalizedLike most patients who need to be hospitalized.

A man and a woman wearing a protective gown hold onto newborns.
Repeated heat during pregnancy can greatly increase the risk of autism of children.
IULA BURMISTROVA/Getty Moment

Pain during pregnancy

Beyond the ten that can occur throughout the pregnancy In addition, in deliveryAs I have experienced, pregnant women can try to manage pain that can occur for nine months for nine months. Pregnant people suffer from kidney stones, appendicitis, or dental dentistry that require root canal, like those who are not pregnant. Maximum 70%of pregnant women experience back pain.Because of this, we cannot carry out normal daily activities and take care of our children. Should they refuse to relieve pain and be hard?

The safest and most The most powerful recommendation For them, painkillers are acetaminophen.

An option with other pains such as NSAIDs such as non -steroidal anti -inflammatory drugs or ibuprofen is usually not limited during pregnancy, Close of important heart valves Not only the fetus Low amniotic fluid And other complications. Opioids have a risk of fetus Addiction and withdrawal developmentNot to mention the danger of mother’s addiction.

Pregnancy, childbirth, and the ability to guide people beyond it are the most intimate and satisfactory medicine for me. The anxiety and fear that people bring about many uncertainty related to pregnancy and childbirth are noticeable and legitimate.

Therefore, it is important to clearly understand the nuances and limitations of the research and research and research. Every time I see children, I think everything I can do to keep my children safely, and I wonder what I could do in the past to prevent the current problems. We are owing it to provide the most honest and scientific information for parents and future parents like me.



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